Cash Receipt Template
Download a blank fillable Cash Receipt Template in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Cash Receipt Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1North Carolina Department of Health and Human Services
Institution Name:
CHILD AND ADULT CARE FOOD PROGRAM
Institution Number:
CASH RECEIPTS AND DISBURSEMENTS JOURNAL
Claim Month/Year:
TRANSACTIONS / BANK ACCOUNT
FUNDS AVAILABLE DURING THE MONTH
APPLICATION OF FUNDS DURING THE MONTH
Administrative
Expenditures
Operating Costs
Other Operating Costs
D
Beginning Fund
Balance
a
Other Income
Operating
Balance
Description
Check #
Deposits
Expenditures
Admin Labor
Other
Supplies
Food
Travel
Equipment
Other
Carried
t
USDA Reimburse-ment
Labor
Forward
e
BALANCE BROUGHT FORWARD
BALANCE CARRIED FORWARD
TOTAL (or SUB-TOTAL)
DHHS CAC 5 (03/11)
RETAIN IN YOUR FILES. DO NOT MAIL TO STATE AGENCY.
Nutrition Services
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal